Individual provider Active NPI

Minal Borsada, MD

  • Internal Medicine Physician
  • Anaheim, CA
National Provider Identifier
1457485500
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A66056 Issued in CA
Practice address
1182 N Euclid St
Anaheim, CA 92801-1900
Phone
(714) 441-0411
Fax
(714) 441-1824
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A066056 CA
Internal Medicine Physician 207R00000X A66056 CA Primary

Addresses

Primary practice location

1182 N Euclid St
Anaheim, CA 92801-1900

Mailing address

1182 N Euclid St
Anaheim, CA 92801-1900
Phone (714) 441-0411

Other practice location 1

1206 E 17th St Ste 101
Santa Ana, CA 92701-2641
Phone (714) 352-2911

Other identifiers 1

IdentifierTypeStateIssuer
00A0660560MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120416000437 CA Practitioner - Internal Medicine 4587825781 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A066056CAMDSpecialist
A66056CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Serve the People, Inc CurrentSince Sep 1, 2019 Accepting new patients
San Judas Community Health Center, Inc. CurrentSince Jan 1, 2019 Accepting new patients

Locations

1080 N Western Ave
Los Angeles, CA 90029
Phone (323) 957-3737

2972 Wilshire Blvd
Los Angeles, CA 90010
Phone (213) 484-0000

1206 E 17th St
Ste 101
Santa Ana, CA 92701
Phone (714) 352-2911

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Serve the People Community Health CenterSanta Ana, CA, CCN 751063 Federally qualified health center Corporate Officer Oct 1, 2019
San Judas Community Health Center IncLos Angeles, CA, CCN A01068 Federally qualified health center Corporate Officer Jul 8, 2021
San Judas Community Health Center IncLos Angeles, CA, CCN A01060 Federally qualified health center Corporate Officer Jul 8, 2021

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1457485500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 N EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011900",
            "telephone_number": "714-441-0411",
            "fax_number": "714-441-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 N EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011900",
            "telephone_number": "714-441-0411",
            "fax_number": "714-441-1824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1206 E 17th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927012641",
            "country_code": "US",
            "telephone_number": "714-352-2911",
            "fax_number": "714-352-2903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORSADA",
        "first_name": "MINAL",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A066056",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A66056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A0660560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.